Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
  • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • A61K38/43—Enzymes; Proenzymes; Derivatives thereof
  • A61K38/46—Hydrolases (3)
  • A61K38/48—Hydrolases (3) acting on peptide bonds (3.4)
  • A61K38/49—Urokinase; Tissue plasminogen activator
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
  • A61K31/52—Purines, e.g. adenine
  • A61K31/522—Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/65—Tetracyclines
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/66—Phosphorus compounds
  • A61K31/675—Phosphorus compounds having nitrogen as a ring hetero atom, e.g. pyridoxal phosphate
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/69—Boron compounds
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
  • A61K38/04—Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
  • A61K38/08—Peptides having 5 to 11 amino acids
  • A61K38/09—Luteinising hormone-releasing hormone [LHRH], i.e. Gonadotropin-releasing hormone [GnRH]; Related peptides
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
  • A61K38/04—Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
  • A61K38/12—Cyclic peptides, e.g. bacitracins; Polymyxins; Gramicidins S, C; Tyrocidins A, B or C
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
  • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • A61K38/164—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from bacteria
  • A61K38/166—Streptokinase
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
  • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
  • A61K38/22—Hormones
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
  • A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
  • A61K38/22—Hormones
  • A61K38/2257—Prolactin
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
  • A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
  • A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
  • A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
  • A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K9/00—Medicinal preparations characterised by special physical form
  • A61K9/0012—Galenical forms characterised by the site of application
  • A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K9/00—Medicinal preparations characterised by special physical form
  • A61K9/08—Solutions
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P35/00—Antineoplastic agents
• • C—CHEMISTRY; METALLURGY
  • C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
  • C12Y—ENZYMES
  • C12Y304/00—Hydrolases acting on peptide bonds, i.e. peptidases (3.4)
  • C12Y304/21—Serine endopeptidases (3.4.21)
  • C12Y304/21073—Serine endopeptidases (3.4.21) u-Plasminogen activator (3.4.21.73), i.e. urokinase

Definitions

• the present invention relates to a stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; and processes for its preparation.
• Parenteral administration is one of the most used delivery route to obtain systemic delivery of pharmaceutically active agents such as small molecules, peptides or proteins. These are frequently formulated in aqueous solutions.
• pharmaceutically active agents such as small molecule drugs, peptides and proteins; particularly, those which are hydrophilic in nature are
• Solubility and stability plays a major role for parenteral compositions.
• pharmaceutically active agents such as peptides, proteins and even certain small molecule drugs in aqueous environment
• active agents are commonly formulated as a solid by lyophilization and reconstituted with a sterile diluent prior to
• Urokinase is commercially available as KinlyticTM (Microbix Biosystems), which is a sterile lyophilized white powder containing 250,000 international units urokinase per vial, mannitol (25 mg/vial), albumin (Human) (250 mg/vial), and sodium chloride (50 mg/vial);
• KinlyticTM Merobix Biosystems
• Protein C Protein C
• Ceprotin ® Concentrate (Human), commercially available as Ceprotin ® , which is a natural protein that is made in the liver and is present in the blood. Ceprotin is used to treat patients with severe congenital protein C deficiency for the prevention and treatment of: venous thrombosis (blood clot in the vein), and purpura fulminans (blood spots, bruising and discoloring to skin as a result of clotting of small blood vessels in the skin); (iii) Coagulation Factor IX (Recombinant), commercially available as AlprolixTM, is a Fc Fusion Protein.
• AlprolixTM is a sterile, non-pyrogenic, preservative-free, white to off- 5 white, lyophilized powder to cake for reconstitution with the provided diluent, for intravenous injection and is indicated in adults and children with hemophilia B (congenital Factor IX deficiency) for: control and prevention of bleeding episodes in perioperative management, and in routine prophylaxis to prevent or reduce the frequency of bleeding episodes;
• Acthrel® Corticorelin ovine triflutate for injection
• Geref® (Sermorelin acetate) is a sterile, nonpyrogenic, lyophilized powder intended for subcutaneous injection after reconstitution with sodium chloride injection, USP. Geref® (sermorelin acetate for injection) increases
• GH plasma growth hormone
• Cubicin ® Daptomycin
• cSSSI complex skin and skin structure infections
• compositions including lyophilized compositions for pharmaceutically active agents are known in the art.
• WO2014041425 discloses a lyophilized daptomycin composition comprising an additive selected from the group consisting of pharmaceutically acceptable antioxidants, pharmaceutically acceptable organic acids and pharmaceutically acceptable salts thereof, pharmaceutically acceptable glucose derivatives and pharmaceutically acceptable salts thereof, and combinations thereof.
• WO2011063419 discloses a solid daptomycin preparation with improved 5 reconstitution time and stability profile.
• WO2014045296 discloses a lyophilized pharmaceutical composition comprising antibacterial agent, daptomycin and tocopheryl phosphate hydrolysate mixture with improved reconstitution time for parenteral administration and also discloses a process of preparation thereof.
• US4244943 discloses a method for preparing a stable urokinase injection by lyophilization of urokinase which comprises lyophilizing an aqueous solution containing urokinase, human serum albumin and one or more amino acid compounds selected from polar amino acids and salt thereof.
• WO 97/04801 disclosed lyophilized compositions that can be reconstituted to
• US5952300 discloses a pharmaceutical composition
• a pharmaceutical composition comprising caspofungin as an active ingredient, a pharmaceutically acceptable amount of an excipient such as a
• sucrose/mannitol mixture to form a lyophilized cake and a pharmaceutically acceptable amount of an acetate buffer effective to provide a pH of between about 4 and 7.
• EP2170362 discloses a lyopbilized anti-fungal composition
• a lyopbilized anti-fungal composition comprising; (a) caspofungin, or a pharmaceutically acceptable salt thereof, in an effective amount; (b) one or more non-reducing sugars having a glass transition temperature T g (s) of at least
• composition 25 about 90°C; and (c) an acetate buffer in an amount effective to provide a pH in a range of from about 5 to about 7; wherein the weight ratio of one or more non-reducing sugars to caspofungin is in a range of about 1.1:1 to about 10:1; the composition has a moisture content of about 0.8 weight% or less; and the composition has a glass transition temperature T g (c) of at least about 55°C.
• the composition needs reconstitution with
• EP2049142 discloses pharmaceutical composition comprising the compound, caspofungin as an active ingredient, specific bulking agents and without an additional pH modifier, which compositions are liquid or solid, e.g. lyophilized compositions.
• EP2644189 discloses bortezomib composition with improved stability, and 5 particularly storage-stable multi-dose liquid bortezomib compositions.
• the examples disclosed in this patent document illustrate that water is an essential ingredient of the composition.
• aqueous environment is considerably addressed by providing the active agents as lyophilized compositions, which have very low moisture content and require to be reconstituted with an aqueous medium prior to their administration.
• the presence of water or any other aqueous medium in the composition can lead to deterioration of the pharmaceutically active agent because of hydrolysis. Therefore, it is
• inventors of the present invention have done extensive research and conducted several experiments to develop a stable, non-aqueous and ready-to-use injectable composition of pharmaceutically active agents, without a need to reconstitute with water prior to administration, thereby rendering the composition according to the present invention an easy-to-use injectable composition.
• the inventors have also provided a simple and cost-effective process for preparation of the stable, non-aqueous and ready-to-use composition of the pharmaceutically active 5 agents.
• the present invention relates to a stable, non-aqueous and ready-to- use injectable composition of a pharmaceutically active agent or a pharmaceutically 10 acceptable salt or a co-crystal thereof; wherein the said injectable composition comprises:
• the present invention provides stable, non-aqueous and ready-to- use injectable composition of a pharmaceutically active agent or a pharmaceutically 20 acceptable salt or a co-crystal thereof; wherein the said injectable composition comprises:
• a non-aqueous solvent system consisting of a primary non-aqueous 25 solvent and optionally one or more secondary non-aqueous co-solvent (s);
• the present invention provides a process for the preparation of 30 a stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof.
• the present invention provides a method for treating or preventing one or more diseases, disorders or conditions, comprising administering to a subject in need thereof; the composition of the present invention in an amount effective to treat or prevent the conditions, diseases or disorders.
• the present invention provides use of a stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof for the manufacture of a medicament for use in the treatment or prevention of one or more diseases, conditions or disorders.
• the present invention provides a stable, non-aqueous and ready- to-use injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; for use in the treatment of a subject having one or more diseases, conditions or disorders.
• the present invention relates to a pharmaceutical kit
• an injectable composition comprising a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; a non-aqueous solvent system consisting of a primary non-aqueous solvent, optionally one or more secondary nonaqueous co-solvent(s); optionallya polyol; optionally a pH adjusting agent; and optionally an antioxidant; and (b) optionally a package insert comprising instructions for
• the term “about” means approximately and in the context of numerical values the term “about” can be construed to estimate a value that is +10% of the value or range recited.
• the term “stable” as used herein in 20 reference to the injectable composition of pharmaceutically active agents means that the said composition does not exhibit appreciable degradation upon storage over a set time limit, at a set temperature, and at an identified pH or within the context of the present invention the term “stable” as used herein in reference to the injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or 25 a co-crystal thereof; means that the said composition exhibit a chromatographic purity, where in the impurities identified are within the acceptable limit.
• the term "sterile composition” means one in which essentially all forms of microbial life have been destroyed by an appreciable amount to meet the sterilization criteria outlined in the US Pharmacopeia.
• the term “ready-to-use” or "RTU” as used herein in reference to the injectable composition of a pharmaceutically active agent is a non-aqueous, injectable composition that is stable and is not reconstituted from a lyophilizate.
• RTU also encompasses within its scope, non-aqueous, injectable composition that is stable and has been diluted from a concentrated, liquid solution just prior to use.
• non-aqueous composition means a composition with not more than 2 % water content.
• non-aqueous solvent means a non-polar solvent which contain bonds between atoms of similar electronegativity like carbon and hydrogen by which they lack partial charges and do not contain hydrogen attached to oxygen or nitrogen so that they are unable to form hydrogen bonds with themselves. Examples of solvents are selected
• ethylene glycol from the group but not limited to ethylene glycol, polyethylene glycols (PEGs), propylene glycol (PG), dipropylene glycol, tripropylene glycol, polyvinylpyrrolidone (PVP), methoxy propylene glycol (MPEG), glycerol, glycofurol or a mixture thereof.
• PEGs polyethylene glycols
• PG propylene glycol
• PVP polyvinylpyrrolidone
• MPEG methoxy propylene glycol
• glycerol glycofurol or a mixture thereof.
• non-aqueous RTU composition means the composition is devoid of any water content in the final finished product or during process for preparation of the
• a negligible amount i.e. not more than 2% of water or moisture may be present due to external environmental factors which does not have any impact on the physiochemical property, specifically on the stability of the composition.
• the term "has not been reconstituted from a lyophilizate” means that a solid has not been dissolved or suspended.
• pharmaceutically acceptable excipient(s) means a diluent, carrier, or composition auxiliary, which is non-toxic, and inert, which does not have undesirable effects on a subject to whom it is administered and is suitable for delivering a therapeutically active agent (e.g. small molecule drug, peptide or protein drug) to the target site without affecting the therapeutic activity of the said active agent.
• a therapeutically active agent e.g. small molecule drug, peptide or protein drug
• pharmaceutically acceptable salt or “pharmaceutically acceptable salt(s)” means salt(s) of the pharmaceutically active agents such as small molecule drug, peptide drugs or protein drugs, which can be prepared by treating the pharmaceutically active agent(s) with an appropriate acid or a base.
• pharmaceutically acceptable base addition salts include, but are not limited to, sodium, potassium, calcium,
• organic base addition salts include, but are not limited to, those derived from organic bases such as lysine, arginine, guanidine, and the like.
• pharmaceutically acceptable acid addition salts include, but are not limited to, those derived from inorganic acids such as hydrochloric acid, nitric acid, phosphoric acid, sulfuric acid and the like, as well as the salts derived from organic acids such as acetic acid, trifluoroacetic acid, propionic acid, oxalic acid, maleic acid, benzoic acid, succinic 5 acid, fumaric acid, phthalic acid, benzenesulfonic acid, p-toluenesulfonic acid, citric acid, tartaric acid, methanesulfonic acid and the like.
• co-crystal refers to a crystalline structure made up of two or more components in a definite stoichiometric ratio, where each component is defined as either an atom, ion, or molecule.
• co-crystal encompasses within its scope many 10 types of compounds, including hydrates, solvates and clathrates.
• composition refers to a unit dose or a multi dose of an active pharmaceutical ingredient and a pharmaceutically acceptable excipient, which can be prepared by the processes described in one or more embodiments of the present invention.
• composition 15 "injectable compositions” and “non-aqueous, stable and ready-to-use injectable composition” are used interchangeably.
• the active pharmaceutical ingredient is a drug or a pharmaceutically active agent such as a peptide drug, a protein drug or a small molecule drug.
• polyol refers to an alcohol containing multilple 20 hydroxyl groups.
• Polyols may comprise, but are not limited to, glycerin, sucrose, lactose, glucose, fructose, arabinose, xylose, ribose, mannose, galactose, dextrose, sorbose, sorbitol, mannitol, maltose, cellobiose, xylitol, or a combination thereof.
• the term "pH" is a measure of hydrogen ion concentration, as commonly used in the art. Customarily, the pH provides a measure on a scale from 0 to 14 of the acidity or alkalinity of a solution. In the context of the present invention, the pH of the injectable composition of pharmaceutically active agents of the present invention 30 is between about 2.0 and about 13.0.
• pH adjusting agent or “pH adjusting agents” as used herein, includes a substance that adjusts the pH of pharmaceutical compositions to intended pH.
• the pH adjusting agents may include pharmaceutically acceptable acids, bases, or buffering agents.
• the acids may include, but are not limited to, one or more inorganic mineral acids such as citric, fumaric, gluconic, lactic, malic, metatartaric, tartaric, ascorbic and benzene sulphonic acid and the like.
• the pH adjusting agent may be a base or a buffering agent.
• the bases may be one or more inorganic bases or organic bases, including, but not limited to, alkaline carbonate, alkaline bicarbonate, alkaline earth metal carbonate, alkaline hydroxide, alkaline earth metal hydroxide or amine.
• the inorganic or organic base may be an alkaline hydroxide such as lithium hydroxide, potassium
• the buffering agent can be, but is not limited to an alkali metal salt of an amino acid, aluminum hydroxide, aluminum magnesium hydroxide, aluminum glycinate, calcium
• a relative pH has been measured because it is difficult to measure the absolute pH of a non-aqueous solution due to lack of hydrogen ion activity or concentration. Further, the pH of the composition may vary depending upon the type of instrument and dilution media.
• solvent system refers to a primary solvent and optionally one or more secondary solvent selected from a group of solvents.
• antioxidants means a substance which is particularly used because certain compounds suitable for use in compositions of the invention are prone to degradation by autoxidation. Antioxidants
• acetylcysteine ascorbyl palmitate, butylated hydroxyanisole (“BHA”), butylated hydroxytoluene (“BHT”), monothioglycerol, potassium nitrate, ascorbic acid or sodium ascorbate, sodium formaldehyde sulfoxylate, sodium metabisulfite, sodium bisulfite, vitamin E or a derivative thereof, propyl gallate, edetate (“EDTA”) (e.g., disodium edetate), diethylenetriaminepentaacetic acid
• Antioxidants may also comprise amino acids such as methionine, histidine, cysteine and those carrying a charged side chain, such as arginine, lysine, aspartic acid, and glutamic acid. Any stereoisomer (e.g., L-, D-, or a combination thereof) of any particular amino acid (e.g., methionine, histidine, arginine, lysine,
• antioxidant isoleucine, aspartic acid, tryptophan, threonine and combinations thereof) or combinations of these stereoisomers, is also encompassed within the scope of the term "antioxidant" so long as the amino acid is present either in its free base form or its salt form.
• the antioxidant if present, may be added to compositions in accordance with the invention in an amount of up to, for example, 0.05% (w/v), preferably from 0.001 to 1%.
• pharmaceutically active agent or “pharmaceutically active agents” can be interchangeably used with the term “drugs”, “therapeutically active agents” or “active agents” and refers to biologically active compounds (or pharmaceutically acceptable salts thereof) having different mechanism of actions that are useful for the treatment or
• pharmaceutically active agents can include the biologically active compounds that are hydrophilic, hydrophobic or amphiphilic in nature but are unstable in aqueous environment.
• pharmaceutically active agents include, but are not limited to, peptides (peptide drugs), proteins (protein drugs) and small molecule drugs.
• peptide 5 drug or “peptide drug(s)” refers to synthetic or biological compounds (and salts thereof) containing short chains of amino acids bound together by amide (CONH) linkages that have demonstrated or potential use in treating, preventing, or ameliorating one or more diseases, disorders, or conditions in a subject in need thereof.
• peptide drugs is used herein interchangeably with the terms “therapeutic peptides” and “peptides”.
• the peptide drugs are short chains of amino acid monomers containing up to 50 amino acids bound together by amide (CONH) linkages and have a molecular weight of less than approximately 5000 Daltons.
• Peptides can be classified by function and also by synthesis. Some common types of peptides classified by function include hormones, neuropeptides, and alkaloids. When classified by synthesis, peptides can be milk,
• peptides are called dipeptides, tripeptides, tetrapeptides, and conjugated peptides which contain amino acid and prosthetic group such as cyclopeptide, glycopeptide, chromopeptide, lipopeptide, nucleopeptide and phosphopeptide.
• Representative examples of peptide drugs include, but are not limited to, daptomycin, nesiritide,
• protein drug or “protein drug(s)” refers to hormones, enzymes and/or antibodies that are naturally occurring, recombinant or chemically synthesized large biological molecules or macromolecules comprising a plurality of natural or modified amino acids residues
• protein drug(s) is used herein interchangeably with the terms "therapeutic protein(s)” and "protein(s)".
• the length of proteins may extend from 51 amino acids up to several thousand amino acids. If the proteins on hydrolysis yield only amino acids, they are called as simple proteins and if, the proteins on hydrolysis yield amino acids and additional products, they are called as
• Proteins due to action of heat, enzymes, or chemical reagents are called as derived proteins.
• Protein are also classified according to shape and solubility as fibrous proteins, globular proteins and membrane proteins.
• proteins can be classified according to biological function such as hormone, enzyme, transport, storage, contractile, structural, protection or antibody.
• Representative examples of protein drugs include, but are not limited to, urokinase, streptokinase, prolactin and a combination thereof.
• ADC Antibody drug conjugates
• ADC are encompassed within the scope of the present invention.
• ADC are type of biconjugates.
• a bioconjugate is a compound in which two molecules are attached with a stable chemical link, at least one of which is a biomolecule; for example, a conjugate of a xenobiotic with some groups such as glutathione, sulfate or glucuronic acid, to make it soluble in water or compartmentalized
• ADCs are complex molecules composed of an antibody (a whole monoclonal antibody or an antibody fragment such as a single-chain variable fragment) linked, via a stable, chemical, linker with labile bonds, to a biological active cytotoxic (anticancer) payload or drug.
• small molecule drug refers to therapeutically active compounds (and/or salts thereof) that can bring about a desired and/or beneficial therapeutic effect on a subject in need thereof.
• small molecule drug(s) refers to therapeutically active compound(s) having molecular weight of less than about 3000 Daltons.
• the small molecule drug can be a therapeutically active compound having
• a therapeutic agent for example, a peptide such as bortezomib having molecular weight of less than 1500 Daltons shall be regarded as a small molecule drug.
• the small molecule a peptide such as bortezomib having molecular weight of less than 1500 Daltons.
• 25 drugs can be selected from the group of agents consisting of anti-cancer agents, antibacterial agents, immunomodulating agents, anti-obesity drugs, antidiabetic drugs, antifungal agents, anti-viral agents, contraceptives, analgesics, anti-inflammatory agents (e.g. steroids or non-steroidal anti-inflammatory drugs (NSAlDs)), antiemetic drugs, vasodilating agents, vasoconstricting agents, and cardiovascular agents. Particularly, the group of agents consisting of anti-cancer agents, antibacterial agents, immunomodulating agents, anti-obesity drugs, antidiabetic drugs, antifungal agents, anti-viral agents, contraceptives, analgesics, anti-inflammatory agents (e.g. steroids or non-steroidal anti-inflammatory drugs (NSAlDs)), antiemetic drugs, vasodilating agents, vasoconstricting agents, and cardiovascular agents. Particularly, the NSAlDs)
• an anti-cancer agent such as azacitidine, bendamustine, bortezomib, carmustine.
• an anti-cancer agent such as azacitidine, bendamustine, bortezomib, carmustine.
• methotrexate an antiemetic drug such as aprepitant, dolasetron, fosaprepitant, granisetron, ondansetron, metoclopromide, hycosine or promethazine; a cardiovascular agent such as atenolol, dobutamine or epoprostenol; an anesthetic such as methohexital; and their pharmaceutically acceptable salts.
• an antiemetic drug such as aprepitant, dolasetron, fosaprepitant, granisetron, ondansetron, metoclopromide, hycosine or promethazine
• a cardiovascular agent such as atenolol, dobutamine or epoprostenol
• an anesthetic such as methohexital; and their pharmaceutically acceptable salts.
• absolute alcohol refers to ethanol containing from about 98.0 to 99.8 v/v/ % of ethanol and from about 0.2 to 2.0 v/v % of water.
• the term "subject” refers to an animal, preferably a mammal, and most preferably a human. In the context of
• a subject in need thereof means a subject (patient) in need of the treatment of a disease or disorder for which the pharmaceutically active agent is suitably used.
• the inventors of the present invention have done extensive research and conducted several experiments to develop a stable injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; which can be prepared in a solubilized and stable form suitable for 30 ready-to-use injection. Further, being a RTU composition, it has enhanced patient compliance and also provides a more stable, safe and effective composition when compared to currently marketed lyophilized compositions.
• the injectable composition of the present invention can be used for a wide 10 variety of pharmaceutically active agents including peptide drugs, protein drugs, small molecule drugs and other therapeutically active agents.
• the non-aqueous injectable composition of the present invention can be widely used for the delivery of numerous pharmaceutically active agents that are hydrophilic in nature bur are unstable in aqueous environment.
• pharmaceutically active agents 15 include, but are not limited to, peptide drugs, protein drugs and small molecule drugs.
• the present invention relates to a non-aqueous, stable and ready-to-use injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; wherein the said injectable composition comprises:
• a non-aqueous solvent system consisting of a primary non-aqueous solvent, optionally one or more secondary non-aqueous co-solvent(s);
• the pharmaceutically active agent is selected from a peptide drug, a protein drug or a small molecule drug.
• the pharmaceutically active agent is a peptide drug.
• the peptide drug is selected from calcitonin, leptin, melatonin, nafarelin, leuprolide, interferon-alpha, interferon-beta, interferon-gamma, low molecular weight heparin, imitrex, integrelin, nesiritide, nemifitide, sandostatin, cetrorelix acetate, ganirelix acetate, sermorelin acetate, zafirlukast, exanitide, pramlintide acetate, vasopressin, desmopressin, glucagon, oxytocin, corticorelin ovine triflutate, corticotropin releasing hormone, daptomycin, tobramycin, triptorelin, goserelin, fuzeon, hematide, buserelin, octreot
• the peptide drug is selected from daptomycin, nesiritide or cetrorelix acetate.
• the pharmaceutically active agent is a protein drug.
• the protein drug is a simple protein or a conjugated protein.
• the protein drug includes, but is not limited to, an enzyme, hormone or an antibody.
• the protein drug is an enzyme selected from: urokinase, streptokinase, kallikrein, pancreatic RNAase, platelet activating factor acetyl hydrolase, tissue plasminogen activator (TPA) or Superoxide dismutase (SOD).
• the protein drug is a hormone selected from insulin, gastrin prolactin, adrenocorticotropic hormone (ACTH), growth hormone (GH), thrombopoietin, obesity protein (leptin), Granulocyte colony-stimulating factor (G-CSF), Fibroblast growth factors (FGF), Insulin-like growth factors (IGF), Macrophage colony stimulating factor (M-CSF), Thyroid stimulating hormone (TSH), Luteinizing hormone (LH),
• ACTH adrenocorticotropic hormone
• GH growth hormone
• thrombopoietin obesity protein
• lactin obesity protein
• G-CSF Granulocyte colony-stimulating factor
• FGF Fibroblast growth factors
• IGF Insulin-like growth factors
• M-CSF Macrophage colony stimulating factor
• Thyroid stimulating hormone Thyroid stimulating hormone
• Luteinizing hormone LH
• FSH Follicle stimulating hormone
• HCG Human chorionic gonadotropin
• VEGF Vascular endothelial growth factor
• the protein drug is a therapeutic agent that provides protection against diseases or other conditions, referred to as protection drug, which is selected from Osteoprotegerin (OPG), Alpha interferon, Beta interferon, Gamma interferon,
• GM-CSF Granulocyte macrophage colony stimulating factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis factor
• TNF Tumor necrosis
• the protein drug is selected from kerantinocyte growth factor (KGF), Platelet-derived growth factor (PDGF), Bone morphogenetic protein (BMP) or 5 Stem cell factor (SCF).
• KGF kerantinocyte growth factor
• PDGF Platelet-derived growth factor
• BMP Bone morphogenetic protein
• SCF 5 Stem cell factor
• the protein drug is selected from urokinase, streptokinase or prolactin.
• the pharmaceutically active agent is a small molecule drug.
• the small molecule drug is a therapeutically active compound 10 having molecular weight of less than about 3000 Daltons.
• the small molecule drug can be selected from the group of agents consisting of anti-cancer agents, anti-bacterial agents, immunomodulating agents, anti-obesity drugs, antidiabetic drugs, anti-fungal agents, anti-viral agents, contraceptives, analgesics, anti-inflammatory agents(e.g. steroids or non-steroidal anti- 15 inflammatory drugs (NSAIDs)), antiemetic drugs, vasodilating agents, vasoconstricting agents, and cardiovascular agents.
• agents consisting of anti-cancer agents, anti-bacterial agents, immunomodulating agents, anti-obesity drugs, antidiabetic drugs, anti-fungal agents, anti-viral agents, contraceptives, analgesics, anti-inflammatory agents(e.g. steroids or non-steroidal anti- 15 inflammatory drugs (NSAIDs)), antiemetic drugs, vasodilating agents, vasoconstricting agents, and cardiovascular agents.
• NSAIDs non-steroidal anti- 15 inflammatory drugs
• the small molecule drug is an anticancer agent selected from: azacitidine, bendamustine hydrochloride, bortezomib, carmustine, cisplatin, carboplatin, cyclophosphide, carmustine, daunorubicine hydrochloride, doxorubicin hydrochloride, 20 etoposide, fludarabine, gemcitabine, melphalan, mitomycin, oxaliplatin, pemetrexed disodium, pentostatin, streptozocin, thiotepa, topotecan or vinblastine.
• an anticancer agent selected from: azacitidine, bendamustine hydrochloride, bortezomib, carmustine, cisplatin, carboplatin, cyclophosphide, carmustine, daunorubicine hydrochloride, doxorubicin hydrochloride, 20 etoposide, fludarabine, gemcitabine,
• the small molecule drug is a cytoprotective agent such as amifostine.
• the small molecule drug is an anti-bacterial agent selected from: 25 tigecycline, doxycycline hyclate, chloramphenicol, azhithromycin or cefazolin sodium.
• the small molecule drug is an anti-fungal agent selected from: caspofungin, micafungin, anidulafungin or voriconazole.
• the small molecule drug is an anti-viral agent selected from acyclovir sodium or ganciclovir sodium.
• the small molecule drug is an anti-psychotic drug selected from thiothixene hydrochloride or midazolam hydrochloride. In an embodiment, the small molecule drug is an anti-ulcer agent selected from esomeprazole sodium, lansoprazole or pantoprazole sodium.
• the small molecule drug is an analgesic selected from metamizole sodium, hydromorphone hydrochloride or remifentanil hydrochloride.
• the small molecule drug is an anti-inflammatory agent selected from hydrocortisone sodium succinate, methylprednisolone sodium succinate, indomethacin, ketoprofen or parecoxib sodium
• the small molecule drug is an antiemetic ding selected from aprepitant, dolasetron mesylate, fosaprepitant, granisetron, ondansetron, metoclopromide 10 hydrochloride, hycosine hydrobromide or promethazine.
• the small molecule drug is an immunomodulating agent such as methotrexate.
• the small molecule drug is a cardiovascular agent selected from atenolol, dobutamine hydrochloride or epoprostenol sodium.
• the small molecule drug is an anesthetic such as methohexital sodium
• the small molecule drug is selected from caspofungin, pemetrexed, bortezomib or tigecycline.
• the pharmaceutically active agent is selected from: daptomycin, 20 nesiritide, cetrorelix acetate, urokinase, streptokinase, prostacyclin, pemetrexed, bortezomib or tigecycline.
• the injectable composition contains the pharmaceutically active agent at a concentration in the range of about 0.1 mg/mL to about 250 mg/mL.
• the injectable composition contains the pharmaceutically active 25 agent at a concentration in the range of about 0.1 mg/mL to about 100 mg/mL.
• the injectable composition contains the pharmaceutically active agent at a concentration in the range of about 0.1 mg/mL to about 50 mg/mL.
• the injectable composition contains the pharmaceutically active agent at a concentration in the range of about 0.1 mg/mL to about 20 mg/mL.
• the injectable composition contains the pharmaceutically active agent at a concentration in the range of about 0.1 mg/mL to about 10 mg/mL.
• the non-aqueous solvent system comprises 100% primary nonaqueous solvent; or in the non-aqueous solvent system, the primary non-aqueous solvent and the secondary non-aqueous co-solvent can be used in a ratio ranging from about 99:1 to about 50:50.
• the non-aqueous solvent system comprises 100% primary nonaqueous solvent.
• the primary non-aqueous solvent and the secondary non-aqueous co-solvent in the non-aqueous solvent system, can be used in the ratio ranging from about 99:1 to about 50:50.
• the primary non-aqueous solvent and the secondary non-aqueous co-solvent can be used in the ratio of 99:1, 95:5,
• the primary non-aqueous solvent and the secondary non-aqueous co-solvent in the non-aqueous solvent system, can be used in the ratio of 90: 10. 15 In an embodiment, in the non-aqueous solvent system, the primary non-aqueous solvent and the secondary non-aqueous co-solvent can be used in the ratio of 85:15.
• the non- aqueous solvent system comprises one or more solvent(s) selected from the group consisting of but not limited to ethylene glycol, propylene glycol, glycerol, polyethylene glycol, dipropylene glycol, tripropylene glycol, 20 methanol, ethanol, absolute alcohol, 1-propanol and isopropanol (isopropyl alcohol) or a mixture thereof.
• solvent(s) selected from the group consisting of but not limited to ethylene glycol, propylene glycol, glycerol, polyethylene glycol, dipropylene glycol, tripropylene glycol, 20 methanol, ethanol, absolute alcohol, 1-propanol and isopropanol (isopropyl alcohol) or a mixture thereof.
• the primary non-aqueous solvent contained in the non-aqueous solvent system is selected from the group consisting of but not limited to ethylene glycol, propylene glycol, dipropylene glycol, tripropylene glycol, glycerol and polyethylene 25 glycol or a mixture thereof.
• the primary non-aqueous solvent is propylene glycol.
• the optional secondary non-aqueous co-solvent contained in the non-aqueous solvent system is a (Ci-C3)alkyl alcohol selected from the group consisting of but not limited to methanol, ethanol, absolute alcohol, 1-propanol and 30 isopropanol (isopropyl alcohol) or a mixture thereof.
• the optional secondary non-aqueous co-solvent contained in the non-aqueous solvent system is isopropyl alcohol, ethanol or absolute alcohol; or a combination thereof.
• the optional secondary non-aqueous co-solvent(s) contained in 5 the non-aqueous solvent system is ethanol or absolute alcohol.
• the optional secondary non-aqueous co-solvent contained in the non-aqueous solvent system is ethanol.
• the optional secondary non-aqueous co-solvent contained in the non-aqueous solvent system is absolute alcohol.
• the optional secondary non-aqueous co-solvent contained in the non-aqueous solvent system is isopropyl alcohol.
• the optional secondary non-aqueous co-solvent(s) contained in the non-aqueous solvent system is a combination of ethanol/absolute alcohol and isopropyl alcohol.
• the polyol is selected from a group consisting of but not limited to glycerin, sucrose, lactose, glucose, fructose, arabinose, xylose, ribose, mannose, galactose, dextrose, sorbose, sorbitol, mannitol, maltose, cellobiose, xylitol, or a combination thereof.
• the polyol is in the range of about 0.01% to about 10% of the 20 total injectable composition of the pharmaceutically active agent.
• the polyol is sorbitol or racemic salts or isomers thereof.
• the polyol is D-sorbitol.
• the primary non-aqueous 25 solvent, the optional secondary non-aqueous co-solvent and the optional polyol are present in an amount such that the pharmaceutically active agent is at a suitable concentration so that the pharmaceutically active agent is completely soluble and stable in the injectable composition.
• the non-aqueous solvent system contains propylene glycol and 30 ethanol.
• the non-aqueous solvent system comprises 100% propylene glycol; or in the non-aqueous solvent system, the propylene glycol and the ethanol/absolute alcohol (and/or isopropyl alcohol) can be used in a ratio ranging from about 99:1 to about 50:50.
• the non-aqueous solvent system comprises 100% propylene glycol.
• the propylene glycol and the ethanol/absolute alcohol (and/or isopropyl alcohol) can be used in the ratio ranging from about 99:1 to about 50:50.
• the propylene glycol and the ethanol/absolute alcohol (and/or isopropyl alcohol) can be used in the ratio of 99:1, 95:5, 10 90:10, 85:15, 80:20, 70:30, 60:40 or 50:50.
• the propylene glycol and ethanol//absolute alcohol (and/or isopropyl alcohol) can be used in the ratio of 90:10.
• the propylene glycol and ethanol//absolute alcohol (and/or isopropyl alcohol) can be used in the ratio of 85:15.
• the pH adjusting agent is selected from pharmaceutically acceptable acids, bases, or buffering agents..
• the pH of the ready-to-use injectable composition of pharmaceutically active agent of the present invention is between about 2.0 and about 13.0.
• the pH of the ready-to-use injectable composition of pharmaceutically active agent of the present invention is between about 3.0 and about 13.0.
• the antioxidants may be selected from butylated hydroxytoluene, sodium metabisulphite acetylcysteine, ascorbyl palmitate, butylated
• the antioxidant may be selected from butylated hydroxytoluene or sodium metabisulphite.
• the present invention relates to a process for the preparation of a stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active ingredient or a pharmaceutically acceptable salt or a co-crystal thereof; wherein the said 5 process comprises the steps of:
• step (b) adding the second solution of step (b) to the first solution of step (a) under constant stirring to obtain a third solution;
• step (c) dispersing the pharmaceutically active ingredient in the third solution of step (c) to 15 obtain a clear solution
• step (d) optionally filtering the clear solution of step (d);
• step (e) filling the clear solution of step (e) into a container to obtain a preparation in a ready- to-use form.
• the present invention relates to a process for the preparation of a stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active ingredient or a pharmaceutically acceptable salt or a co-crystal thereof; wherein the said process comprises the steps of:
• step (b) adding primary non-aqueous solvent to the first solution of step (a) to obtain a second solution;
• step (c) adding pharmaceutically active ingredient to the second solution of step (b) and allowing to disperse to produce a solution; d) optionally filtering the solution of step (c) one or more times to obtain a clear solution;
• step (d) filling the clear solution of step (d) into a container to obtain a composition in a ready-to-use form.
• the present invention relates to a process for the preparation of the stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active ingredient or a pharmaceutically acceptable salt or a co-crystal thereof; wherein the said process comprises the steps of:
• step (a) allowing the resulting first solution of step (a) to attain a temperature of 2°C to room 15 temperature;
• step (c) optionally adding polyol and antioxidant to the first solution of step (b) under constant stirring until the polyol dissolves, to obtain a second solution;
• step (c) optionally adding a secondary non-aqueous co-solvent to the second solution of step (c) under constant stirring for 5 minutes to 10 minutes to obtain a third solution;
• step (d) adding pharmaceutically active ingredient to the third solution of step (d) and allowing to disperse to obtain a solution;
• step (e) optionally filtering the solution as obtained in step (e) one or more times to obtain a clear solution
• step (f) filling the clear solution of step (f) in suitable containers to obtain a composition in a 25 ready-to-use form.
• the present invention relates to a process for the preparation of the stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active ingredient or a pharmaceutically acceptable salt or a co-crystal thereof; wherein the said process comprises the steps of:
• step (a) allowing the resulting first solution of step (a) to attain a temperature of 2°C to room temperature;
• step (b) optionally adding a secondary non-aqueous solvent to the first solution of step (b) under constant stirring for 5 minutes to 10 minutes to obtain a second solution;
• step (c) adding pharmaceutically active ingredient to the second solution of step (c) and allowing to disperse to obtain a solution;
• step (d) optionally filtering the solution of step (d) one or more times to obtain a clear 10 solution
• step (e) filling the clear solution of step (e) in suitable containers to obtain a composition in a ready-to-use form.
• the said pharmaceutically active agent in the process for the preparation of the injectable composition 15 of the pharmaceutically active agent; the said pharmaceutically active agent is as described above in one or more embodiments of the invention.
• the non-aqueous solvent system comprises 100% primary non-aqueous solvent; 20 or in the non-aqueous solvent system, the primary non-aqueous solvent and the secondary non-aqueous co-solvent can be used in a ratio ranging from about 99:1 to about 50:50.
• the non-aqueous solvent system comprises 100% primary non-aqueous solvent.
• the primary non-aqueous solvent and the secondary non-aqueous co-solvent in the process for the preparation of the injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; in the non-aqueous solvent system, can be used in the ratio ranging from about 99:1 to 30 about 50:50.
• the primary non-aqueous solvent and the secondary non-aqueous co-solvent in the process for the preparation of the injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; in the non-aqueous solvent system, can be used in the ratio of 99:1, 95:5, 90:10, 85:15, 80:20, 70:30, 60:40 or 50:50.
• the primary non-aqueous solvent and the secondary non-aqueous co-solvent(s) can be used in the ratio of 90:10.
• the primary non-aqueous solvent and the secondary non-aqueous co-solvent(s) can be used in the ratio of 85:15.
• the primary non-aqueous solvent contained in the non-aqueous solvent system is 15 selected from the group consisting of but not limited to ethylene glycol, propylene glycol, dipropylene glycol, tripropylene glycol, glycerol and polyethylene glycol or a mixture thereof.
• the primary non-aqueous solvent is propylene glycol.
• the secondary non-aqueous co-solvent is a (Ci-C3)alkyl alcohol selected from the group consisting of but not limited to methanol, ethanol, absolute
• the secondary non-aqueous co-solvent is isopropyl alcohol; ethanol or absolute alcohol; or a combination thereof.
• the secondary non-aqueous co-solvent in another embodiment, in the process for the preparation of the injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; is ethanol. In another embodiment, in the process for the preparation of the injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; the secondary non-aqueous co-solvent is absolute alcohol.
• the secondary non-aqueous co-solvent is isopropyl alcohol.
• the secondary non-aqueous co-solvent is a combination of 10 ethanol/absolute alcohol and isopropyl alcohol.
• the polyol is selected from the group consisting of but not limited to glycerin, sucrose, lactose, glucose, fructose, arabinose, xylose, ribose, mannose, galactose, 15 dextrose, sorbose, sorbitol, mannitol, maltose, cellobiose, xylitol, or a combination thereof.
• the polyol in the process for the preparation of the injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; is in the range of about 0.01% to about 10% of the total injectable 20 composition of the pharmaceutically active agent.
• the polyol in the process for the preparation of the injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; the polyol is sorbitol or racemic salts or isomers thereof.
• the polyol is D-sorbitol.
• the non-aqueous solvent system comprises 100% propylene glycol.
• the non-aqueous solvent system comprises propylene glycol and ethanol. In an embodiment, in the process for the preparation of the injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; the non-aqueous solvent system comprises propylene glycol and absolute alcohol.
• the non-aqueous solvent system comprises propylene glycol and isopropyl alcohol.
• the non-aqueous solvent system comprises 100% propylene glycol; or in the non-aqueous solvent system, the propylene glycol and ethanol/absolute alcohol (and/or isopropyl alcohol) can be used in a ratio ranging from about 99:1 to about 50:50.
• the non-aqueous solvent system comprises 100% propylene glycol.
• the propylene glycol and ethanol/absolute 20 alcohol (and/or isopropyl alcohol) can be used in the ratio ranging from about 99:1 to about 50:50.
• propylene glycol and ethanol/absolute alcohol in the process for the preparation of the injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; in the non-aqueous solvent system, propylene glycol and ethanol/absolute alcohol (and/or isopropyl alcohol) can be used in the ratio of 90:10.
• propylene glycol and ethanol/absolute alcohol in the process for the preparation of the injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; in the non-aqueous solvent system, propylene glycol and ethanol/absolute alcohol (and/or isopropyl alcohol) can be used in the ratio of 85:15.
• the pH adjusting agent is selected from pharmaceutically acceptable acids, bases, or buffering agents.
• the pH of the ready-to-use injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; obtained by the process as described above is between about 2.0 and about 13.0.
• the pH of the ready-to-use injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; obtained by the process as described above is between about 3.0 and about 13.0.
• antioxidant is selected from but not limited to butylated hydroxytoluene, sodium metabisulphite acetylcysteine, ascorbyl palmitate, butylated hydroxyanisole, monothioglycerol, potassium nitrate, ascorbic acid or sodium ascorbate, sodium formaldehyde sulfoxylate, sodium bisulfite, vitamin E or a derivative thereof, propyl gallate, edetate, diethylenetriaminepentaacetic acid, triglycollamate, DL- or D-a-
• the antioxidant is selected from butylated hydroxytoluene or sodium
• the present invention relates to use of a stable, non-aqueous and ready-to-use injectable composition of the pharmaceutically active agent or a 30 pharmaceutically acceptable salt or a co-crystal thereof; for the manufacture of a medicament for treating or preventing one or more diseases, conditions or disorders; wherein the said injectable composition is as described in one or more embodiments of the present invention as described herein above.
• the present invention relates to a method of treating or preventing one or more diseases, conditions or disorders comprising administering to a 5 subject in need thereof a therapeutically effective amount of a stable, non-aqueous and ready-to-use injectable composition of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; wherein the said injectable composition is as described in one or more embodiments of the present invention as described herein above.
• the diseases, disorders or conditions for the treatment or prevention of which the injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; of the present invention can be used, include, but are not limited to, metabolic disorders, autoimmune disorders, cardiovascular diseases, respiratory diseases, thyroid diseases, hormonal 15 diseases, neurodegenerative diseases, bacterial infections, viral infections, fungal infections, renal diseases, hepatobiliary diseases, venereal diseases, platelet aggregation, inflammatory diseases, cancers, transplantation complications due to rejection reactions, graft rejection and hepatic diseases.
• the pharmaceutically active agent contained in the stable, non- 20 aqueous and ready-to-use injectable composition which is provided for use in the treatment or prevention of one or more diseases, conditions or disorders (as described herein); is as described above in one or more embodiments of the invention.
• the stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a 25 co-crystal thereof can be packaged in a suitable container depending upon the composition and the method of administration of the composition.
• suitable containers known to a person skilled in the art include vials, ampoules and infusion bag.
• the present invention provides a pharmaceutical kit comprising the stable, non-aqueous and ready-to-use injectable composition of a 30 pharmaceutically active agent; wherein the said composition comprises of the pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; a non-aqueous solvent system consisting of a primary non-aqueous solvent, optionally one or more secondary non-aqueous co-solvent(s); optionally a polyol; optionally a pH adjusting agent and optionally an antioxidant.
• the kit may further comprise a package insert, including information about the indication, usage, doses, direction for administration, contraindications, precautions and warnings.
• the kit may 5 further contain optional materials for storing and/or administering the drug like infusion bag as well as instructions for storage and use.
• the stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; of the present invention can be delivered to the subject intravenously.
• the stable, non-aqueous and ready-to-use injectable composition of a pharmaceutically active agent or a pharmaceutically acceptable salt or a co-crystal thereof; of the present invention can be delivered to the subject by infusion.
• the injectable dosage form may be delivered intravenously through infusion.
• step (a) Sodium hydroxide was dissolved in propylene glycol of step (a) to obtain a first solution by stirring for 60 minutes and attaining temperature of 2°C to 8°C.
• step (c) The second solution obtained in step (c) was added to first solution obtained in step (b).
• step (e) Daptomycin was then added to the solution obtained in step (d) to obtain a solution.
• f) The solution obtained in step (e) was subjected to turbulence for 30- 120 minutes to 10 obtain a clear solution.
• step (f) The clear liquid concentrate obtained in step (f) was filled in siliconised / non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a composition in a ready-to-use form.
• step (a) Sodium hydroxide was dissolved in propylene glycol of step (a) to obtain a first solution by stirring for 60 minutes and attaining temperature of 2°C to 8°C.
• step (c) Sorbitol was dissolved in ethanol to obtain a second solution.
• step (c) The second solution obtained in step (c) was added to first solution obtained in step (b).
• step (d) Daptomycin was then added to the solution obtained in step (d) to obtain a solution
• step (e) The solution obtained in step (e) was subjected to turbulence for 30- 120 minutes to obtain a clear solution.
• the clear liquid concentrate obtained in step (f) was filled in siliconised/ non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a composition in a ready-to-use form.
• step (b) The solution thus obtained in step (b) was added to propylene glycol of step (a) with continuous stirring until complete miscibility was observed.
• step (d) Daptomycin was then added to the solution obtained in step (c) to obtain a solution.
• step (d) The solution obtained in step (d) was subjected to turbulence for 30-120 minutes to obtain a clear solution,
• step (e) The clear liquid concentrate obtained in step (e) was filled in siliconised/ non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen 5 headspace to obtain a composition in a ready-to-use form.
• step (b) Sorbitol and sodium metabisulphite were dissolved in ethanol to obtain a solution.
• step (b) The solution thus obtained in step (b) was added to propylene glycol of step (a) with continuous stirring until complete miscibility was observed.
• step (d) Daptomycin was then added to the solution obtained in step (c) to obtain a solution.
• step (d) The solution obtained in step (d) was subjected to turbulence for 30- 120 minutes to obtain a clear solution,
• step (e) The clear liquid concentrate obtained in step (e) was filled in siliconised/ non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen 5 headspace to obtain a composition in a ready-to-use form
• step (d) Urokinase was then added to the solution of step (c) to obtain another solution.
• step (d) The solution obtained in step (d) was subjected to turbulence to obtain a clear solution.
• step (e) The clear liquid concentrate obtained in step (e) was filled in siliconised/ non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen 5 headspace to obtain a composition in a ready-to-use form.
• step (b) Sodium hydroxide was dissolved in a solution obtained in the step (a) by heating at 50°C for 60 minutes and cooling to a temperature of 2°C to 8°C.
• step (c) The solution obtained in step (c) was added to the solution obtained in (b).
• Urokinase was then added to the solution obtained in step (d) to obtain a solution.
• step (f) The clear liquid concentrate obtained in step (f) is filled in siliconised/ non-siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a composition in a ready-to-use form.
• composition mentioned according to Example 6 demonstrates that the composition
• step (b) The second solution of step (b) was added to the first solution of step (a) to obtain a third solution.
• step (d) The solution obtained in step (d) was subjected to turbulence for 30-120 minutes to obtain a clear solution.
• step (e) The clear liquid concentrate obtained in step (e) was filled in siliconised/ non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a composition in a ready-to-use form..
• step (b) The solution thus obtained in step (b) was added to propylene glycol of step (a) with continuous stirring until complete miscibility was observed.
• step (d) Caspofungin was then added to the solution obtained in step (c) to obtain a solution.
• step (d) The solution obtained in step (d) was subjected to turbulence for 30- 120 minutes to 15 obtain a clear solution.
• step (e) The clear liquid concentrate obtained in step (e) was filled in siliconised / non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a composition in a ready-to-use form.
• step (b) Sorbitol and butylated hydroxytoluene were dissolved in ethanol to obtain a solution.
• step (c) The solution thus obtained in step (b) was added to propylene glycol of step (a) with continuous stirring until complete miscibility was observed.
• step (d) Caspofungin was then added to the solution obtained in step (c) to obtain a solution.
• step (d) The solution obtained in step (d) was subjected to turbulence for 30- 120 minutes to 15 obtain a clear solution..
• step (e) The clear liquid concentrate obtained in step (e) was filled in siliconised/ non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a composition in a ready-to-use form.
• step (b) Sorbitol and sodium metabisulpbite were dissolved in ethanol to obtain a solution. c) The solution thus obtained in step (b) was added to propylene glycol of step (a) with continuous stirring until complete miscibility was observed.
• step (d) Caspofungin was then added to the solution obtained in step (c) to obtain a solution.
• step (d) The solution obtained in step (d) was subjected to turbulence for 30- 120 minutes to 15 obtain a clear solution..
• step (e) The clear liquid concentrate obtained in step (e) was filled in siliconised / non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a composition in a ready-to-use form.
• step (b) The solution thus obtained in step (b) was added to propylene glycol of step (a) with continuous stirring until complete miscibility was observed.
• step (c) Fosaprepitant was then added to the solution obtained in step (c) to obtain a solution.
• step (d) The solution obtained in step (d) was subjected to turbulence for 30- 120 minutes to obtain a clear solution.
• step (e) The clear liquid concentrate obtained in step (e) was filled in siliconised / non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a composition in a ready-to-use form.
• Example 12 The composition described in Example 12 is prepared by following the same procedure as described in the above Example 11.
• Fosaprepitant was then added to the solution to obtain a solution.
• step (e) The solution obtained in step (e) was subjected to turbulence for 30- 120 minutes to obtain a clear solution.
• step (f) The clear liquid concentrate obtained in step (f) was filled in siliconised / non- siliconised vial and stoppered with Teflon coated rubber stoppers with nitrogen headspace to obtain a formulation in a ready-to-use form.
• Example 14 The composition described in Example 14 is prepared by following the same procedure as described in the above Example 13.

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